HomeMy WebLinkAboutPermit Electrical 2000-08-24CITY OF OREGON
225 TIFTE STREEf,
SPRTNGFTELD, oREG0N 97477 -
INSPECTION REQUESTz 726-W
SPFI. -F!ELC'
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf 'd llome- or
Modular Dvelling
Sertice or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amPs _
401 amps to 600 amPs _
601 amps to 1000 amps_
over 1000 amps/volts
Reconnect 0n1y
Job Nurnber C,o- OrTt? -O I
Items Cost
+/
3. COI{PIJTE FEE SCffiDtILE BELOS
A. Nev Residential-Single or
Multi-FamiIY Per dwelling unit.
Service Included:
2fr,
fhe totlowing pro.lect as submitted has the following
zonrng. and does not require specific land use
approval nI.DIU ELBCTRICAL PBru{TT APPLICATION
OPFICE: 726-3759 Authonzecl Stgnature
4'-(r1.o
1.
tao =
/72r)
JOB
OF INST ON
e6
o
3a)Ztacasz
€7e1fr9
'd/J /c/>(
Sum
70 e ,?71
"rr244ZD 4DESCRIPTION fo6)l $ 8s.00
$ 1s.00
s 40.00
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COMRACf,OR INSTALI,ATION ONLY
Electrical Contractor
Address
Ci ty
B
Supervisor
Expi ra t ion
Constr Con
Expi ra t ion
Li
Date
tr.
e
r
s s0.00
s 60.00
$100. 00
$130.00
s300.00
s 40.00
(= :rJ:Dta--1;a.frH-.. *+WEC)filH
IOOC)L,IC)L,I+.
r
c.
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting-
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
7% State Surcharge
32 Administrative Fee
TOTAL
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less ( $ 40.00 ? 5
201 amps to 400 amps
-
S 55.00
over 4bL to 600 amps
-
$ 80.00
0ver 600 amps or 1000 voTEs see uB* a56ifSignature of Supervising trician
ovners Name L Peey Stnrrr#
Address I lLt g s Lg lL
=t-
ciry S f /:-Q Phone aZ L ^?[ SE
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners ture:
s
s
$
s
40
40
20
o&,
otr
o&ffi
:T@
5
DATE: DA
o5
Phon
RECETVED
o f.J
Zoning